FORM 1023-EZ for WAYNE KALEOLANI MIYAMOTO PUBLIC POLICY FELLOWSHIP

Field Data
EIN 47-2843316
Case Number EO-2019051-000361
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAYNE KALEOLANI MIYAMOTO PUBLIC POLICY FELLOWSHIP
Organization’s Mailing Address 6712 OLD OAK COURT
City CITRUS HEIGHTS
State CA
ZIP 95610
Accounting period End 12
Primary contact name TERRY MIYAMOTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD SCHNETZER
PRESIDENT
PO BOX 1227
CITRUS HEIGHTS CA 95611-1227

Officer/Director/Trustee Two

RYAN EISENBERG
VICE PRESIDENT
PO BOX 1227
CITRUS HEIGHTS CA 95611-1227

Officer/Director/Trustee Three

THERESA MIYAMOTO
TREASURER
PO BOX 1227
CITRUS HEIGHTS CA 95611-1227

Officer/Director/Trustee Four

JENNIFER ECHEVERRIA
SECRETARY
PO BOX 1227
CITRUS HEIGHTS CA 95611-1227

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/14
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name THERESA MIYAMOTO
Signature Title TREASURER
Signature Date 2/15/19
EIN 47-2843316
Case Number EO-2015099-000540
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WAYNE KALEOLANI MIYAMOTO PUBLIC POLICY FELLOWSHIP
Organization’s Mailing Address 520 CAPITOL MALL SUITE 28
City SACRAMENTO
State CA
ZIP 95814
Accounting period End 12
Primary contact name ROBERT P REILLY EDD LMFT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT REILLY
DIRECTOR AND PRESIDENT
3508 FIDLER AVENUE
LONG BEACH CA 90808

Officer/Director/Trustee Two

THERESA MIYAMOTO
DIRECTOR SECRETARY CFO
6712 OLD OAK COURT
CITRUS HEIGHTS CA 95610

Officer/Director/Trustee Three

JENNIFER ECHEVERRIA
DIRECTOR
1105 SOUTH 8TH STREET
ALHAMBRA CA 91801

Officer/Director/Trustee Four

RICHARD SCHNETZER
DIRECTOR
PO BOX 3388
IDYLLWILD CA 92549

Organization’s website WWW.CAPSES.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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